Topological modes and spectral flows in inhomogeneous PT-symmetric continuous media

In classical Hermitian continuous media, the spectral-flow index of topological modes is linked to the bulk topology via index theorem. However, the interface between two bulks is usually non-Hermitian due to the inhomogeneities of system parameters. We show that the connection between topological modes and bulk topology still exists despite the non-Hermiticity at the interface if the system is endowed with PT symmetry. The theoretical framework developed is applied to the Hall magnetohydrodynamic model to identify a topological mode called topological Alfv\'{e}n-sound wave in magnetized plasmas.